Bioidentical Hormones - U.S. Senate Special Committee on Aging

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121 tf you have a history of heart problems please discuss this with your doctor. During the first month you may not receive all the estrogen you are applying and probably may not receive much of the progesterone. By month two, the estrogen from the first month's dose will have made enough estrogen receptors in a closed loop to provoke progesterone receptors. By your second cycle the progesterone effect will be more pronounced because it will have progesterone receptors to read to. By month three a full compliment of receptors should be up and running and then it is time to start adjusting the dose for your individual needs. Blood testing is in order at this juncture to give your doctor the information to correlate your remaining symptoms with the amounts of hormone you are receiving. Women who are already cycling when they start the Protocol might need to adjust earlier. Until your hormones are in synchrony, sleeping patterns may still continue to be broken. To deal with this interval waking, (at 2am and 4am or 1am and 3am) some women use Tylenol PM or sublingual melatonin one hour before bed, but never more than two hours after sunset. This regimen may also be used to 'get off' of other common sleep aids. Never use more than 3mg of melatonin in the winter and never more than 1 mg in the summer. Melatonin is a powerful overthe-counter hormone available in the United States. There Is an expanded Frequently Asked Questions on the web site as well as a link to the user group. Questions that are gathered there are submitted to T.S. Wiley. The user group and web page is an educational forum and you are advised to discuss all decisions about your health and dosage changes with your doctor. Should you have an emergency situation contact your doctor. About medications, supplements and herbs. All-medications, prescription or otherwise, available to the public work across hormone receptors Lo be eltesive, therefore, ail medications, supplements, and herbs can have an effect on hormone receptors. ALL herbs work across hormone receptors. For example, evening primrose oil, Vitex agnus castus Chastetree or berry, Black Cohosh, Estrovan, lignans, red clover and flax have hormonal effects and could interfere with your Wiley Protocol IT. Check the constituents of all .combination' products from healthfood stores and naturopathic and chiropractic practitioners. Medications that are Contraindicated on the Wiley ProtocolTm Arimidex Anastrazole Letrezole Aromasin Exemestane Fosamax Raloxifen Tamoxifen Discuss these drugs with your doctor before stopping them. Down the line you may find you need less of certain conventional medications like antidepressants, especially SSRis and Lipitor. Discuss this with your doctor.
122 These products that have been seen to be no problem with the Wiley Protocolm Magnesium B-vitamins Omega 3's and 6's Lithium Anti-psychotic drugs Anti-epilepsy Common sleep meds like Ambien, Tylenol PM, Melatonin, Resterol, Zantax, Zantac Bleeding Out of Rhythm Consult your doctor and the website for information about: Bleeding before day 21 can be either a sign of too much or too little estrogen. On the basic Protocolm, too much is unlikely. Bleeding on or after day 21: try using 24 lines more of progesterone BID for one day only. If the bleeding continues, stop all progesterone and let your period happen. Call the next day DAY ONE. This earlier than normal bleeding indicates the need for 2 more lines of estradiol BID for your entire cycle beginning on this new DAY ONE, so you will make more progesterone receptors and your progesterone can hold the lining past DAY 21. To see more answers to many frequently asked questions go to the website thewileyprotocol.com Discuss the educational material with your doctor before you make decisions about your health. Consultation with your pharmacist Your pharmacist is only allowed to answer questions about your order, to tell you where and how to apply the cream, the production and contents of the cream and hormones, your insurance, compounding information, and business matters pertaining to your order. By month 3 and every six months after that you are urged to get your blood tested. Blood testing is done on day 12 and day 21. There are cream application issues with regard to blood testing so here are two options for getting blood work done in regard to applying your cream. Stick with one. Morning or afternoon, either before you apply or 3 hr after.
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S. HRG. 110-129 Bioidentica
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CONTENTS Page Opening Statement of
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2 The sale of bioidentical hormone
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4 ever, as Dr. Wartofsky points out
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6 with every stage of the disease:
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8 I am pleased to appear before thi
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10 When the trials began, many rese
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Women who began treatment more than
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14 One small trial using oral estra
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16 FDA is aware that a growing numb
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18 DEPARTMENT OF HEALTH & HUMAN SER
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20 safety and efficacy. However, as
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22 adulteration and misbranding pro
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24 The 2002 CPG reflects FDA's curr
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26 Equally concerning are claims by
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28 concerned about the use and mark
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30 Part I: Materials and Partnershi
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32 drugs, when the compounding of t
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34 Our staff identified 34 Web site
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1. Introduction 36 Chairman Kohl, R
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diet and fitness products. 5 For ex
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include "natural" progesterone crea
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42 unique to the computer age, such
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computer users to spam(ftuce.0ov -
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46 accuracy of advertising for heal
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48 Now, you have identified in your
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50 claim." Therefore, since the ter
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52 Such quality control problems ha
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54 Statement Before the U.S. <stron
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in the U.S., whereas WHI participan
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58 between science and hearsay and
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60 How can we determine whether bio
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62 doctors-are not getting the obje
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64 27. Writing Group for the PEPI T
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66 Dr. MANSON. Well, I think that m
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68 Statement of Leonard Wartofsky,
Page 73 and 74: 70 in the WHI. In fact, no study as
Page 75 and 76: In summary, the Endocrine Society i
Page 77 and 78: 74 The FDA also regulates aspects o
Page 79 and 80: Statement of Loyd V. Allen, Jr., Ph
Page 85 and 86: 82 Senator SMITH. Dr. Allen, as I h
Page 87 and 88: 84 Now, when you are talking about
Page 89 and 90: 86 The only thing the WHI proved wa
Page 91 and 92: 88 Testimony Of T.S. Wiley before t
Page 93 and 94: Confusion and Media Hype 90 Instead
Page 95 and 96: 92 see a doctor tell a diabetic nea
Page 97 and 98: 94 the only compelling reason to ta
Page 99 and 100: 96 identical hormones synthesized f
Page 101 and 102: 98 The world as we know it, from ba
Page 103 and 104: 100 thereby experienced long period
Page 105 and 106: 102 Bio-identical progesterone repl
Page 107 and 108: 104 had reached optimum theoretical
Page 109 and 110: 106 and the patient can be can reas
Page 111 and 112: 108 Estradiol and Analytical Resear
Page 113 and 114: 110 A controlled systematic pilot c
Page 115 and 116: 112 of set doses. The Wiley Protoco
Page 117 and 118: 114 I'd advocate for either Accredi
Page 119 and 120: 116 D.C., and established a goal to
Page 121 and 122: 118 If this legislation passes, fed
Page 123: first and second finger on the barr
Page 127 and 128: 124 Bcl-2, survivin and variant CD4
Page 129 and 130: 126 These are experiments by other
Page 131 and 132: 128 cerebro-cellular inflammation c
Page 133 and 134: 130 Years # women *1>0.5 8 *1+ 9 *2
Page 135 and 136: *Breast cancer 132 -57 y.o. recurre
Page 137 and 138: 134 *Labor intense for patient and
Page 139 and 140: 136 Senator SMITH. Thank you very m
Page 141 and 142: 138 makes these hormones uniquely s
Page 143 and 144: 140 tomize the Wiley Protocol by ra
Page 145 and 146: 142 "natural," because all lead to
Page 147 and 148: 144 maceutical commerce, often with
Page 149 and 150: 146 WHITE PAPER #1 DID YOU KNOW THA
Page 151 and 152: 148 WHITE PAPER #2 Pharmacy Compoun
Page 153 and 154: 150 bleeding of the bowel, locate t
Page 155 and 156: 152 compounding standards can be en
Page 157 and 158: 154 I. The FDA's definition of a "N
Page 159 and 160: 156 ORIIGINAL CONTrMIBTION JANMA-EX
Page 161 and 162: Initially, the design allowed women
Page 163 and 164: ards analyses," stratified by clini
Page 165 and 166: year). These 'drop-in" rates were a
Page 167 and 168: years of prior use, 11 vs 2; HR, 4.
Page 169 and 170: trogen plus progestin exposure. Clo
Page 171 and 172: 168 RISKS AND BENEFITS OF ESTROGEN
Page 173 and 174: EFFECTS OF POSTMENOPAUSAL ESTIROGEN
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EFFECTS OF POSTMENOPAUSAL ESTROGEN
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pEyECTS OF POSTMENOPAUSAL ESTROGEN
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10000 isoor i I ea '° a wan 20-24
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~SDt~rpa g~2~Q ~ !~fm~. b~e ~ ng jh
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Is associated with an Increased ris
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188 Postmenopausal hormone therapy
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group (P= 04001), and In this subgr
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Treatmnent recommendations Based on
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21.Grodsteln F. Manson JE, Colditz
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_ ORWIGNAL CONTIuBUTION 196 Postmen
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showed no striking differences in H
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(214 cases; P for trend=.72): howev
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202 HORMONE THERAPY USE AND RISK OF
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mal studies, and laboratory studies
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210 ,lmcCII na: CLI I tr: tarty ver
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212 ,mucmai rimi &ronos farty bstro
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214 LntIucwu miau: rronos nary estr
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XVI. PNharmacy Licensure Requiremen
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XVI. Pharmacy Licensure Requirement
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220 Roster of Board of Pharmacy Ece
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050. 0l7404405400 Al-h. PeVbU 03283
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Conclusions * Age is a powerful ris
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Women's Health Initiative Trials of
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Hormone Therapy after WHI * Change
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Statement of the American Pharmacis
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232 APhA Statement to the S
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240 Written Testimony of Steven F.
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242 STATEMENT OF DAVID G. ADAMS On
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244 Report on State Laws and Regula
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246 Only one state, Utah, requires
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248 5. Compounding Copies of FDA-Ap
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Bioidentical Hormones - U.S. Senate Special Committee on Aging

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